Provider Demographics
NPI:1699161513
Name:ACOSTA-PROWS, ADRIANA (ARNP)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:ACOSTA-PROWS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 HOSPITAL BLVD STE 420
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4919
Mailing Address - Country:US
Mailing Address - Phone:770-410-4366
Mailing Address - Fax:770-410-4664
Practice Address - Street 1:2500 HOSPITAL BLVD STE 420
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4919
Practice Address - Country:US
Practice Address - Phone:770-410-4366
Practice Address - Fax:770-410-4664
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-07
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9220337363LC0200X
GARN282393363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine